| NPI | 1972636637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA TILLMAN Cv Oand Medical Staff Director 903-531-5784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |